Afrotc Form 28 – Fill Out and Use This PDF

Box 1 is the cadet/applicant name.

Box 2 is the AFROTC detachment.

Medical authority: measure height and weight of cadet/applicant, compare results to AF standards listed on reverse, check block 7 and certify as requested below.

Box 3, cadet/applicant measurements, has a height and a weight.

Box 4, Air Force weight standards (found on reverse), has a minimum and a maximum.

AFROTC cadre: if cadet/applicant exceeds AF weight standards, conduct a body fat measurement IAW DoDI 1308.3.

Box 5 is the body fat measurement.

Box 6, body fat standards: female 26%, male 18%.

Box 7: check the applicable box.

Box 7 has these boxes: is within Air Force weight standards, exceeds Air Force weight standards, is below Air Force weight standards.

Box 8, medical authority: review the information above, conduct counseling below in applicable areas, and sign. Print your name after "I," to say you have examined this cadet/applicant and reviewed his/her medical history.

Box 9, if cadet/applicant is below Air Force weight standards: initial to certify this cadet/applicant's lean body mass poses no health risk, no signs of eating disorders exist, and you have discussed the importance of nutrition and weight management.

Box 10, if cadet/applicant exceeds Air Force weight standards: initial to say you have discussed appropriate and safe weight loss with the cadet/applicant.

Box 11, for all cadets/applicants: circle did or did not for finding medical condition(s) or physical impairment(s) that would preclude this cadet/applicant from participating in a rigorous physical training program. If a medical condition/physical impairment exists that may preclude the individual from participating, please explain.

Enter the physician or medical authority signature and the examination date.

AFROTC cadre: review the information entered and sign with the AFROTC cadre signature and the date.